Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $2,263.00 / $6,691.00	Facility		$212.62	$2,263.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $123.86 / $200.73	Professional		$74.56	$123.86	$200.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $148.69 / $148.69	Professional		$148.69	$148.69	$148.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.21 / $2,499.02 / $5,209.00	Facility		$1,411.21	$2,499.02	$5,209.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $126.89 / $214.20	Professional		$82.28	$126.89	$214.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $327.96 / $4,699.03	Facility		$142.32	$327.96	$4,699.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $88.78 / $177.56	Professional		$88.78	$88.78	$177.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $1,653.23 / $1,653.23	Facility		$83.01	$1,653.23	$1,653.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $159.43 / $242.59	Professional		$97.81	$159.43	$242.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $639.72	Facility		$55.00	$55.00	$639.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,179.06 / $3,593.56 / $3,737.30	Professional		$3,179.06	$3,593.56	$3,737.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $138.46 / $212.23	Facility		$88.60	$138.46	$212.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $181.14 / $304.64	Professional		$113.21	$181.14	$304.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $146.38 / $198.10	Professional		$88.78	$146.38	$198.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $137.94 / $209.82	Facility		$88.60	$137.94	$209.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $167.36 / $267.89	Professional		$101.50	$167.36	$267.89
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $161.68 / $247.79	Professional		$121.26	$161.68	$247.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $148.69 / $208.17	Professional		$131.41	$148.69	$208.17